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Developing country interventional cardiology

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https://www.readbyqxmd.com/read/27881912/assessing-the-feasibility-and-quality-of-shared-decision-making-in-china-evaluating-a-clinical-encounter-intervention-for-chinese-patients
#1
Rongchong Huang, Xiantao Song, Jian Wu, Wei Huang, Aaron L Leppin, Michael R Gionfriddo, Yongxian Liu, Kasey R Boehmer, Henry H Ting, Victor M Montori
BACKGROUND: The aim of this study was to evaluate the feasibility of using the Statin Choice decision aid to have discussions about starting a statin medication for cardiovascular risk reduction in Chinese patients with stable coronary artery diseases. METHODS: A prospective, pilot study of the Statin Choice decision aid in two teaching hospitals in Northern China was conducted. A total of seven clinicians were enrolled and underwent a 12-hour, group-based, in-person training on shared decision making (SDM) and the Statin Choice decision aid...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/27734640/demographic-assessment-and-evaluation-of-degree-of-lipid-control-in-high-risk-indian-dyslipidemia-patients-diverse-study
#2
Naresh Malhotra, M K Keshan, Avinash Agarwal, R Anil Kumar, Abhijit Trailokya, Kalpesh Dalvi, Suhas Talele
BACKGROUND: Cardiovascular diseases (CVD's) are the major cause of morbidity and mortality in both developed and developing countries. Many clinical trials have demonstrated that low-density lipoprotein cholesterol (LDL-C) lowering, reduces the incidence of coronary and cerebrovascular events across a broad spectrum of patients at risk. Guidelines for the management of patients at risk have been established in Europe and North America. The guidelines have advocated progressively lower LDL-C targets and more aggressive use of statin therapy...
April 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27664213/should-we-individualize-lipid-profiling-in-women-with-polycystic-ovary-syndrome
#3
Inger Sundström Poromaa, Jan Roar Mellembakken, Laure Morin Papunen, Terhi Piltonen, Johanna Puurunen, Juha S Tapanainen, Elisabet Stener-Victorin, Angelica Lindén Hirschberg, Eszter Vanky, Pernille Ravn, Dorte Glintborg, Marianne Andersen
STUDY QUESTION: Is it necessary to monitor lipid profiles in all young women with polycystic ovary syndrome (PCOS)? SUMMARY ANSWER: Lipid profiling is required when women with PCOS develop type 2 diabetes (T2D) or hypertension, but rarely changes clinical care before the age of 35 years. WHAT IS KNOWN ALREADY: PCOS consensus statements and guidelines recommend that women with PCOS should be screened for dyslipidaemia every second year or annually...
September 22, 2016: Human Reproduction
https://www.readbyqxmd.com/read/27020513/optimizing-the-management-of-acute-coronary-syndromes-in-sub-saharan-africa-a-statement-from-the-africardio-2015-consensus-team
#4
Maurice Kakou-Guikahue, Roland N'Guetta, Jean-Baptiste Anzouan-Kacou, Euloge Kramoh, Raymond N'Dori, Serigne Abdou Ba, Maboury Diao, Moustapha Sarr, Abdoul Kane, Adama Kane, Findide Damorou, Dadhi Balde, Mamadou Bocary Diarra, Mohamed Djiddou, Gisèle Kimbally-Kaki, Patrice Zabsonre, Ibrahim Ali Toure, Martin Houénassi, Habib Gamra, Bachir Chajai, Benoit Gerardin, Rémy Pillière, Pierre Aubry, Marie-Christine Iliou, Richard Isnard, Pascal Leprince, Yves Cottin, Edmond Bertrand, Yves Juillière, Jean-Jacques Monsuez
BACKGROUND: Whereas the coronary artery disease death rate has declined in high-income countries, the incidence of acute coronary syndromes (ACS) is increasing in sub-Saharan Africa, where their management remains a challenge. AIM: To propose a consensus statement to optimize management of ACS in sub-Saharan Africa on the basis of realistic considerations. METHODS: The AFRICARDIO-2 conference (Yamoussoukro, May 2015) reviewed the ongoing features of ACS in 10 sub-Saharan countries (Benin, Burkina-Faso, Congo-Brazzaville, Guinea, Ivory Coast, Mali, Mauritania, Niger, Senegal, Togo), and analysed whether improvements in strategies and policies may be expected using readily available healthcare facilities...
June 2016: Archives of Cardiovascular Diseases
https://www.readbyqxmd.com/read/27006109/global-cardiac-risk-assessment-in-the-registry-of-pregnancy-and-cardiac-disease-results-of-a-registry-from-the-european-society-of-cardiology
#5
Iris M van Hagen, Eric Boersma, Mark R Johnson, Sara A Thorne, William A Parsonage, Pilar Escribano Subías, Agata Leśniak-Sobelga, Olga Irtyuga, Khaled A Sorour, Nasser Taha, Aldo P Maggioni, Roger Hall, Jolien W Roos-Hesselink
AIMS: To validate the modified World Health Organization (mWHO) risk classification in advanced and emerging countries, and to identify additional risk factors for cardiac events during pregnancy. METHODS AND RESULTS: The ongoing prospective worldwide Registry Of Pregnancy And Cardiac disease (ROPAC) included 2742 pregnant women (mean age ± standard deviation, 29.2 ± 5.5 years) with established cardiac disease: 1827 from advanced countries and 915 from emerging countries...
May 2016: European Journal of Heart Failure
https://www.readbyqxmd.com/read/26758899/exercise-echocardiography-for-structural-heart-disease
#6
Masaki Izumo, Yoshihiro J Akashi
Since the introduction of transcatheter structural heart intervention, the term "structural heart disease" has been widely used in the field of cardiology. Structural heart disease refers to congenital heart disease, valvular heart disease, and cardiomyopathy. In structural heart disease, valvular heart disease is frequently identified in the elderly. Of note, the number of patients who suffer from aortic stenosis (AS) and mitral regurgitation (MR) is increasing in developed countries because of the aging of the populations...
March 2016: Journal of Echocardiography
https://www.readbyqxmd.com/read/26603054/trends-in-percutaneous-coronary-intervention-from-2004-to-2013-according-to-the-portuguese-national-registry-of-interventional-cardiology
#7
Hélder Pereira, Rui Campante Teles, Marco Costa, Pedro Canas da Silva, Rui Cruz Ferreira, Vasco da Gama Ribeiro, Ricardo Santos, Pedro Farto e Abreu, Henrique Cyrne de Carvalho, Jorge Marques, Renato Fernandes, Vítor Brandão, Dinis Martins, António Drummond, João Luís Pipa, Luís Seca, João Calisto, José Baptista, Fernando Matias, José Sousa Ramos, Francisco Pereira-Machado, João Carlos Silva, Manuel Almeida
INTRODUCTION AND OBJECTIVES: The aim of the present paper is to report trends in Portuguese interventional cardiology from 2004 to 2013 and to compare them with other European countries. METHODS: Based on the Portuguese National Registry of Interventional Cardiology and on official data from the Directorate-General of Health, we give an overview of developments in coronary interventions from 2004 to 2013. RESULTS: In 2013, 36 810 diagnostic catheterization procedures were performed, representing an increase of 34% compared to 2007 and a rate of 3529 coronary angiograms per million population...
November 2015: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/26559920/pacemakers-implantation-and-radiofrequency-catheter-ablation-procedures-during-medical-missions-in-morocco-an-8-year-experience
#8
Sok-Sithikun Bun, Decebal Gabriel Latcu, Abdelkarim Errahmouni, Naïma Zarqane, Khelil Yaïci, Abdelhamid Moustaghfir, Amale Tazi-Mezalek, Nadir Saoudi
AIMS: Radiofrequency catheter ablation (RFCA) for arrhythmias in the context of short-term medical missions (MM) in a developing country has not been reported so far. We describe here our experience with RFCA and pacemaker implantation in Morocco with a fully portable electrophysiological (EP) system under the auspice of the Monaco-Morocco Cardiology Association. METHODS AND RESULTS: Since November 2007, two to three MM (mean duration 4 days including transportation) per year were conducted (including two physicians and one nurse from Monaco) and were alternately located in Marrakech, Fes, Agadir, Casablanca, Rabat, Essaouira, and Oujda...
July 2016: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/25727522/lifestyle-intervention-and-one-year-prognosis-of-patients-following-open-heart-surgery-a-randomised-clinical-trial
#9
Olga Kadda, Anastasia Kotanidou, Athanasios Manginas, George Stavridis, Serafim Nanas, Demosthenes B Panagiotakos
AIMS AND OBJECTIVES: To evaluate the one-year prognosis of a lifestyle counselling intervention (diet, smoking cessation and exercise) among patients who had open heart surgery. BACKGROUND: Cardiovascular disease is the leading cause of morbidity worldwide in both developing and developed countries. Lifestyle modification plays an important role for patients who are at a high risk of developing cardiovascular disease and for those with an established cardiovascular disease...
June 2015: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/25684886/challenges-in-the-management-of-congenital-heart-disease-in-vietnam-a-single-center-experience
#10
Vu Minh Phuc, Do Nguyen Tin, Do Thi Cam Giang
Vietnam, in Asia, is a low middle-income country with a relatively large population to cater to. Not many know about Vietnam, or its healthcare sector especially the field of pediatric cardiology and congenital heart disease. In contrast to the developed world, congenital heart disease (CHD) is not diagnosed early. Since most of the patients visit the hospital only in later stages of the disease there are many complications during the operation and post-operatively. But during the past 5 years (from 2009), there has been major improvement in the treatment of CHD, both by intervention and surgery...
January 2015: Annals of Pediatric Cardiology
https://www.readbyqxmd.com/read/25608683/progress-in-interventional-cardiology-challenges-for-the-future
#11
REVIEW
Sakine Simsekyilmaz, Elisa A Liehn, Constantin Militaru, Felix Vogt
Cardiovascular disease is the leading cause of death in the western and developing countries. Percutaneous transluminal coronary interventions have become the most prevalent treatment option for coronary artery disease; however, due to serious complications, such as stent thrombosis and in-stent restenosis (ISR), the efficacy and safety of the procedure remain important issues to address. Strategies to overcome these aspects are under extensive investigation. In this review, we summarise relevant milestones during the time to overcome these limitations of coronary stents, such as the development of polymer-free drug-eluting stents (DES) to avoid pro-inflammatory response due to the polymer coating or the developement of stents with cell-directing drugs to, simultaneously, improve re-endothelialisation and inhibit ISR amongst other techniques most recently developed, which have not fully entered the clinical stage...
March 2015: Thrombosis and Haemostasis
https://www.readbyqxmd.com/read/25176940/prognosis-and-treatment-of-atrial-fibrillation-patients-by-european-cardiologists-one-year-follow-up-of-the-eurobservational-research-programme-atrial-fibrillation-general-registry-pilot-phase-eorp-af-pilot-registry
#12
MULTICENTER STUDY
Gregory Y H Lip, Cécile Laroche, Popescu Mircea Ioachim, Lars Hvilsted Rasmussen, Laura Vitali-Serdoz, Lucian Petrescu, Dan Darabantiu, Harry J G M Crijns, Paulus Kirchhof, Panos Vardas, Luigi Tavazzi, Aldo P Maggioni, Giuseppe Boriani
BACKGROUND: The EURObservational Research Programme-Atrial Fibrillation General Registry Pilot Phase (EORP-AF Pilot) provides systematic collection of contemporary data regarding the management and treatment of 3119 subjects with AF from 9 member European Society of Cardiology (ESC) countries. In this analysis, we report the development of symptoms, use of antithrombotic therapy and rate vs. rhythm strategies, as well as determinants of mortality and/or stroke/transient ischaemic attack (TIA)/peripheral embolism during 1-year follow-up in this contemporary European registry of AF patients...
December 14, 2014: European Heart Journal
https://www.readbyqxmd.com/read/24910295/successful-training-of-self-sufficient-interventional-paediatric-cardiology-team-in-a-sub-saharan-setting-a-multicentre-collaborative-model
#13
MULTICENTER STUDY
Endale Tefera, Shakeel A Qureshi, Ramón Bermudez-Cañete
BACKGROUND: Most children in the Third World do not have access to treatment for heart diseases, as the priorities of health care are different from the developed countries. MATERIALS AND METHODS: Since 2009, teams supported by the Chain of Hope and Spanish medical volunteers have travelled twice a year to help develop paediatric cardiac services in the Cardiac Center in Ethiopia, undertaking four missions each year. As of December 2012, 296 procedures were performed on 287 patients...
June 2015: Cardiology in the Young
https://www.readbyqxmd.com/read/24627616/is-radial-access-and-transradial-cardiac-catheterization-feasible-without-the-use-of-any-vasodilator
#14
Cemil Izgi, Hasan Feray
This is a "proof of concept" study to assess feasibility of transradial access without use of vasodilators. Radial artery spasm (RAS) is an important cause of patient discomfort and procedural failure with use of radial access. Vasodilators are routinely used to prevent RAS. However, the use of vasodilators may not be appropriate in substantial groups of patients. These include patients with myocardial infarction and low blood pressure who will benefit from radial access the most. No specific recommendations about use of vasodilators in these settings are stated on consensus documents on radial access...
March 2014: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
https://www.readbyqxmd.com/read/24108511/antibiotics-for-the-prophylaxis-of-bacterial-endocarditis-in-dentistry
#15
REVIEW
Anne-Marie Glenny, Richard Oliver, Graham J Roberts, Lee Hooper, Helen V Worthington
BACKGROUND: Infective endocarditis is a severe infection arising in the lining of the chambers of the heart with a high mortality rate.Many dental procedures cause bacteraemia and it was believed that this may lead to bacterial endocarditis (BE) in a few people. Guidelines in many countries have recommended that prior to invasive dental procedures antibiotics are administered to people at high risk of endocarditis. However, recent guidance by the National Institute for Health and Care Excellence (NICE) in England and Wales has recommended that antibiotics are not required...
October 9, 2013: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/23607683/exploring-in-hospital-death-from-myocardial-infarction-in-eastern-europe-from-the-international-registry-of-acute-coronary-syndromes-in-transitional-countries-isacs-tc-on-the-behalf-of-the-working-group-on-coronary-pathophysiology-microcirculation-of-the-european
#16
Raffaele Bugiardini, Olivia Manfrini, Marta Majstorović Stakić, Edina Cenko, Sergei Boytsov, Bela Merkely, David Becker, Mirza Dilic, Zorana Vasiljevic, Akos Koller, Lina Badimon
INTRODUCTION: The aim of the current study was to investigate the outcomes of coronary reperfusion therapies and ST-segment elevation myocardial infarction (STEMI) in patients of Eastern countries with economies in transition. Federation, and Serbia. The overall population consisted of 23,486 consecutive patients admitted to hospitals from January 1(st) to December 31(st) 2009. Registry data and statistics from the Organization for Economic Cooperation and Development (OECD) countries for the same period were used for comparison (2009-2010)...
2014: Current Vascular Pharmacology
https://www.readbyqxmd.com/read/23527174/regional-disparities-in-mortality-after-ischemic-heart-disease-in-a-brazilian-state-from-2006-to-2010
#17
COMPARATIVE STUDY
Luciano de Andrade, Vanessa Zanini, Adelia Portero Batilana, Elias Cesar Araujo de Carvalho, Ricardo Pietrobon, Oscar Kenji Nihei, Maria Dalva de Barros Carvalho
BACKGROUND: High technology in the field of interventional cardiology applied in tertiary hospitals has brought enormous benefits in the treatment of ischemic heart disease (IHD). However, IHD mortality rates remain high. We analyzed the relationship between IHD mortality rate and the socioeconomic, demographic, and geographic conditions in 399 cities in Parana state, Brazil, from 2006 to 2010. METHODS AND RESULTS: Data were obtained from the Mortality Information System and the Brazilian Institute of Geography and Statistics and evaluated through Exploratory Spatial Data Analysis...
2013: PloS One
https://www.readbyqxmd.com/read/23492606/the-pivotal-role-of-echocardiography-in-the-assessment-of-multivalvular-heart-disease
#18
REVIEW
A Grimaldi, A C Vermi, F Pappalardo, S Benussi, A Fumero, F Maisano, A Colombo, G La Canna, O Alfieri
Multivalvular heart disease (MHD) accounts for approximately 15% of the patients undergoing valve surgery in the EuroHeart Survey and for 8.6% of all valvular surgical interventions. Most clinical studies on valvular heart disease are focused on single-valve disease and very few data stress the difficulties encountered in the diagnostic assessment and clinical decision making of multiple defects, also concerning the reciprocal hemodynamic influence or the overlap of surgical indications. Many fields related to multiple valve disease are not encountered in the European Guidelines on Valvular Heart Disease (ESC) or the American College of Cardiology/American Heart Association (ACC/AHA)...
April 2013: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/23354100/consensus-document-on-the-radial-approach-in-percutaneous-cardiovascular-interventions-position-paper-by-the-european-association-of-percutaneous-cardiovascular-interventions-and-working-groups-on-acute-cardiac-care-and-thrombosis-of-the-european-society-of
#19
Martial Hamon, Christian Pristipino, Carlo Di Mario, James Nolan, Josef Ludwig, Marco Tubaro, Manel Sabate, Josepa Mauri-Ferré, Kurt Huber, Kari Niemelä, Michael Haude, William Wijns, Dariusz Dudek, Jean Fajadet, Ferdinand Kiemeneij
Radial access use has been growing steadily but, despite encouraging results, still varies greatly among operators, hospitals, countries and continents. Twenty years from its introduction, it was felt that the time had come to develop a common evidence-based view on the technical, clinical and organisational implications of using the radial approach for coronary angiography and interventions. The European Association of Percutaneous Cardiovascular Interventions (EAPCI) has, therefore, appointed a core group of European and non-European experts, including pioneers of radial angioplasty and operators with different practices in vascular access supported by experts nominated by the Working Groups on Acute Cardiac Care and Thrombosis of the European Society of Cardiology (ESC)...
March 2013: EuroIntervention
https://www.readbyqxmd.com/read/23351814/enhancing-the-efficacy-of-delivering-reperfusion-therapy-a-european-and-north-american-experience-with-st-segment-elevation-myocardial-infarction-networks
#20
REVIEW
Kurt Huber, Patrick Goldstein, Nicolas Danchin, Keith A A Fox, Robert Welsh, Christopher B Granger, Timothy Henry, Bernard J Gersh
Advances in technique and adjunctive medication have improved outcome of ST-segment elevation myocardial infarction (STEMI) patients. However, the timely delivery and administration of reperfusion strategies to all eligible patients remain challenging. Currently, up to one-third of eligible STEMI patients in industrialized countries worldwide receive no specific reperfusion treatment, a problem that is rectified by the development and implementation of STEMI networks, as also recommended by the latest European Society of Cardiology and American College of Cardiology/American Heart Association guidelines...
February 2013: American Heart Journal
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